Title July 2021 recalls.pdf ✅

Q 1. 24 yrs old pregnant pt, 9wks GA, with excessive vomiting, PUQE score of 12, with urine ketone +2, vomiting not subsided by community management, what is the next step? . A. admit for inpatient treatment B. ambulatory daycare service C. give IV fluids and discharge D. Give IV antibiotics and discharge E. Add steroid and discharge Answer: B 2. COMMONEST Artery injured during primary port insertion? . A. Common iliac vessel B. external iliac C. inferior epigastric D. suprarenal aorta E. suprarenal aorta Answer: A The distal aorta and right common iliac artery are particularly prone to injury, right common iliac artery lies directly below the umbilicus 3. PT underwent forceps delivery, with epidural analgesia. She had severe back pain worsening and urinary incontinence 2 days later. What initial investigation will you do? . A. CT spine B. MRI spine C. Urodynamics D. USG abdomen and pelvis E. Cystoscopy Answer: D Suspecting retention with overflow incontinence, back pain caused by back pressure on the kidney. It takes time until the bladder becomes full and overflow starts 4. Before which GA to stop smoking in pregnancy to reduce adverse fetal outcomes of smoking? . A. 8 weeks B. 10 weeks C. 12 weeks D. 15 weeks
E. 20 weeks Answer: D women who succeeded in stopping smoking prior to 15 weeks of gestation were at no greater risk of either adverse outcome than non-smokers TOG 2011 5. A doctor compared Drug A with a placebo. Another study compared Drug B with a placebo for ovulation induction. Results ( outcome - ovulation induction Drug A Vs placebo - 35% Vs 25%( p-value - 0.04) Drug B Vs placebo - 45% Vs 15% ( p-value 0.05) What is the inference of this study? . A. Drug A and B are both significant in improving live birth B. Drug A is more significant C. Drug B is more significant than A for OI D. Both are not significant Answer: C OR for drug A is 35/15 while for drug B is 45/15. So drug B is more effective in the induction of ovulation. Live birth rate is not studied. 6. Which indicator predicts who have the disease and tested positive among all screened positives? . A. PPV B. NPV C. Sensitivity D. Specificity Answer: PPV as this is the description of A/A+B